| NPI | 1962155150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YASMANY FERNADEZ PENALVER Manager 702-606-7244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-01-28 |
| Last Update Date | 2023-08-31 |